{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:15:33Z","timestamp":1777673733512,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["1R01AG083102-01"],"award-info":[{"award-number":["1R01AG083102-01"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health&amp;#65533;Serv&amp;#65533;Insights"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Little is known about clinicians\u2019 perspectives on the process and outcomes of Medicare Annual Wellness Visits (AWVs) in Medicare beneficiaries with mild cognitive impairment (MCI) or Alzheimer\u2019s Disease and Related Dementias (ADRD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>We sought clinicians\u2019 opinions on the impact of AWVs on health outcomes and disparity reduction for beneficiaries with MCI\/ADRD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Institute for Healthcare Improvement\u2019s 4Ms framework of an age-friendly health system informed the design of this qualitative study of a pilot.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We used convenience sampling and recruited clinicians from a single academic-health-science center\u2019s catchment area in Texas, who billed for at least 1 AWV to participate in a one-time, one-on-one, semi-structured interview conducted via phone\/Zoom. Participants verbally agreed to participate. This study met the federal regulations for a Quality Assessment project.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We interviewed 26 clinicians (17 female; 26 non-Hispanic, 12 White, 10 Asian, 4 Black; 16 in family medicine and 5 in internal medicine). Most agreed AWVs improve health outcomes (n\u2009=\u200923, 88.5%) and reduce health disparities for Medicare beneficiaries with MCI\/ADRD (n\u2009=\u200920, 76.9%). The top three \u201cwhat works\u201d themes were: (1) non-primary care providers (eg, wellness nurses) streamline AWV delivery by screening patients, providing resources\/support, and sharing abnormal findings with primary care providers (PCPs); (2) PCPs do AWVs themselves to be in alignment with issues identified; and (3) sufficient time allotted to learn what matters most to patients and caregivers. The top three \u201cwhat does not work\u201d themes were: (1) clinicians desire having a family caregiver present; (2) clinicians need the full hour for in-depth screenings and holistic care; and (3) clinics need on-site social workers to address nonmedical issues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Clinicians agreed that AWVs helped improve health outcomes and reduce health disparities. Tailoring AWV components by MCI\/ADRD stage will optimize the visit, maximize health outcomes, and decrease disparities in access to care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11786329261432894","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T10:24:47Z","timestamp":1774952687000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Qualitative Study of a Pilot of Clinician Perspectives on the Delivery of Medicare Annual Wellness Visits for Patients with Dementia in an Academic Health Science Center in Texas"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1626-0806","authenticated-orcid":false,"given":"Huey-Ming","family":"Tzeng","sequence":"first","affiliation":[{"name":"School of Nursing, The University of Texas Medical Branch (UTMB Health), Galveston, TX, USA"},{"name":"Sealy Center on Aging, UTMB Health, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1927-0927","authenticated-orcid":false,"given":"Yong-Fang","family":"Kuo","sequence":"additional","affiliation":[{"name":"Sealy Center on Aging, UTMB Health, Galveston, TX, USA"},{"name":"Department of Internal Medicine-Geriatric Medicine Division, John Sealy School of Medicine, UTMB Health, Galveston, TX, USA"},{"name":"Office of Biostatistics, UTMB Health, Galveston, TX, USA"},{"name":"Department of Biostatistics and Data Science, School of Public and Population Health, UTMB Health, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4742-4380","authenticated-orcid":false,"given":"Monique R.","family":"Pappadis","sequence":"additional","affiliation":[{"name":"Sealy Center on Aging, UTMB Health, Galveston, TX, USA"},{"name":"Department of Population Health and Health Disparities, School of Public and Population Health, UTMB Health, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7029-5997","authenticated-orcid":false,"given":"Elizabeth A.","family":"Hennessy","sequence":"additional","affiliation":[{"name":"School of Nursing, The University of Texas Medical Branch (UTMB Health), Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3531-4053","authenticated-orcid":false,"given":"Maribel M.","family":"Marquez-Bhojani","sequence":"additional","affiliation":[{"name":"School of Nursing, The University of Texas Medical Branch (UTMB Health), Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6937-3507","authenticated-orcid":false,"given":"Samuel V.","family":"David","sequence":"additional","affiliation":[{"name":"Office of Biostatistics, UTMB Health, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1478-7620","authenticated-orcid":false,"given":"Elise","family":"Passy","sequence":"additional","affiliation":[{"name":"Alzheimer\u2019s Association, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mukaila A.","family":"Raji","sequence":"additional","affiliation":[{"name":"Sealy Center on Aging, UTMB Health, Galveston, TX, USA"},{"name":"Department of Internal Medicine-Geriatric Medicine Division, John Sealy School of Medicine, UTMB Health, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-020-06032-5"},{"key":"e_1_3_2_3_2","unstructured":"Centers for Medicare and Medicaid Services Medicare Learning Network. 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